Intihar, Dale
Intihar, Dale is an individual health care provider with primary practice located at 309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Intihar, Dale can be contacted via phone (386) 445-7073.Contact Information
Primary practice address
309 Palm Coast Pkwy Ne
Palm Coast FL 32137-3886
Phone: (386) 445-7073
Fax: (386) 447-7092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME89456 | Florida |
Profile Details
| NPI number | 1164490199 |
|---|---|
| LBN Legal business name | Intihar, Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 22nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164490199 | NPPES |
| Florida | Other | 37624 | BCBS |
| Florida | Other | 1164490199 | BCBS |
| Florida | Other | ME89456 | BCBS |
| Florida | Other | P01034306 | BCBS |
| Florida | MEDICAID | 268950200 | BCBS |
Popular Providers
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Bollhofer, William J.
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309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886